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作者分析某一医院1960~1969年所治疗的421例鼻皮肤癌。其中319例初诊时,癌病局限于鼻部皮肤,86%为基底细胞癌。半数病人曾在其他处经过各种治疗,因局部复发或另有原发灶转来就诊。124例采用切除病变,即用裂层皮片移植治疗。皮片取自锁骨下皮肤或臂内侧皮肤。切除肿瘤的广度及深度,则根据切除组织的冰冻切片检查而定。缝合皮片后,用纱布压迫,5~7日后取除。经治疗的124例中,95例(77%)已保持5年以上无病变。15例有局部复发,2例发于移植皮片小部之下,其他则在边缘处或移植处附近出现
The authors analyzed 421 cases of nasal skin cancer treated by a hospital from 1960 to 1969. In 319 cases at the time of initial diagnosis, the cancer was confined to the skin of the nose, and 86% was basal cell carcinoma. Half of the patients had undergone various treatments in other places and returned for local recurrence or another primary lesion. 124 patients were treated with resection lesions, which were treated with split-skin grafts. Skin flaps are taken from the subclavian skin or the medial arm skin. The extent and depth of tumor removal are based on the frozen section of the excised tissue. After suturing the skin pieces, they are pressed with gauze and removed after 5-7 days. Of the 124 cases treated, 95 (77%) had remained disease-free for more than 5 years. 15 cases had local recurrence, 2 cases were found under the skin flaps, and others appeared at the edges or near the grafts.